AMANDA GILDERSLEEVE (NP-C) – Family Nurse Practitioner, NPI 1114652369

AMANDA GILDERSLEEVE (NP-C) is a healthcare provider. based in Albany, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 202210764NP-PP (OR). The NPI Number for AMANDA GILDERSLEEVE (NP-C) is 1114652369

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA GILDERSLEEVE (NP-C)
NPI
1114652369
Phone
(971) 246-9594
Address
330 PINE ST SE
Enumeration Date
21 July 2022
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5037673226
Graduation Year
2022 (4 years ago)
PAC ID
7012391576
Group Practice PAC ID
7416297973
Professional Enrollment ID
I20220901000160
Address ID
OR973831205ST1155XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for AMANDA GILDERSLEEVE (NP-C)

  • 330 PINE ST SE

    ALBANY, OR 973214628

    Phone: (971) 246-9594

    Type: Mailing

  • 1095 N 1ST AVE

    STAYTON, OR 973831203

    Phone: (503) 767-3226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220901000160INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4828$0
36415Insertion of needle into vein for collection of blood sample2320$0
99214Established patient office or other outpatient visit, 30-39 minutes2217$0
99212Established patient office or other outpatient visit, 10-19 minutes1313$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 97321)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416297973View full group profile
NameSpecialtyState
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Can I cross-check AMANDA GILDERSLEEVE (NP-C) using NPI 1114652369?
NPI 1114652369 belongs to AMANDA GILDERSLEEVE (NP-C); compare other details if you need extra assurance.
Active or inactive — what applies to AMANDA GILDERSLEEVE (NP-C)?
You should see AMANDA GILDERSLEEVE (NP-C) as active in CMS-hosted NPPES data.
What kind of doctor is AMANDA GILDERSLEEVE (NP-C)?
AMANDA GILDERSLEEVE (NP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMANDA GILDERSLEEVE (NP-C)?
Travel planning: use Albany, Oregon as the reference point for AMANDA GILDERSLEEVE (NP-C), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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